Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.83 / $2,761.00 / $4,100.00	Facility		$192.83	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $156.40 / $192.83	Professional		$113.85	$156.40	$192.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $137.62 / $1,030.00	Professional		$134.22	$137.62	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $169.63 / $426.42	Professional		$119.98	$169.63	$426.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $176.69 / $373.65	Professional		$167.86	$176.69	$373.65
United Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $762.00 / $5,004.00	Facility		$106.67	$762.00	$5,004.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $187.98 / $454.22	Professional		$129.63	$187.98	$454.22